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Job OverviewPay Range: $46.76hr - $51.76hrRequirement/Must Have5+ years Clinical nursing experience.2+ years Care Management.Bachelor's Degree in Nursing.In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required...

Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...

Responsibilities: Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. ...

Guidehealth is seeking a remote-based Care Manager (RN) to guide patients and families through complex health journeys. You will blend clinical expertise with holistic care, addressing medical, behavioral, and social needs while coordinating...

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does...

Actalent is seeking a remote Utilization Review Registered Nurse to perform concurrent reviews, validate medical necessity, and ensure appropriate care settings. You will partner with providers and internal teams to support decisions and discharge...

EK Health is hiring a full-time Telephonic Nurse Case Manager (RN) for our Case Management Team. The role includes assessing, planning, coordinating, and evaluating service options to ensure injured workers receive timely, cost-effective care and...

Compliance Nurse 2 - LTC Program (Metro Atlanta Region) The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead...

Guidehealth is seeking a dedicated Registered Nurse (RN) to join as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will conduct AWVs via telehealth under physician supervision, focusing on preventive care,...

Summary The Home Based Primary Care Nurse NP is a professional, independent practitioner with advanced education and appropriate experience who provides evidence-based care for a specific population of patients. The NP uses advanced...

Monovo is seeking a Remote Physiological Monitoring Nurse to join our dedicated team in delivering exceptional patient care. The nurse will monitor patient vital signs via RPM devices, educate patients, and collaborate with healthcare providers to...

As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision,...

Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Talent Acquisition Specialist Nurse Recruiter The Talent Acquisition Specialist Nurse Recruiter will partner with hiring...

Impresiv Health is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team remotely. You will perform concurrent reviews, prior authorizations, and discharge planning while collaborating with...

Optum is seeking a SSBV Clinical Claim Review Nurse Manager – Remote to lead a team conducting clinical reviews and ensure determinations meet guidelines and regulatory requirements. The role supports a fast-paced, production-driven environment...

Job Title: Specialized Licensed Vocational Nurse (LVN) - Trach & Vent Support Compensation Range: $30 - $40 per hour (Dependent on experience) Schedule: Monday to Friday, School Hours...

Adventist Health Glendale Nursing AssistantNestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services,...

A prominent healthcare organization is seeking a Telephone Triage Nurse Line Advisor in Saint Paul, Minnesota. The role requires a current Minnesota RN License and 3+ years of RN work experience. You will independently triage patient calls and...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

#SRNThis position represents 5 openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the...

A leading healthcare provider in Columbia, Illinois is seeking an RN Supervisor for the Patient Access Center, focusing on evening shifts. The role demands strong clinical judgment and communication skills to optimize patient admissions and...

Summary Scott County VA Clinic, Scottsburg, Indiana is currently recruiting for a Registered Nurse-Home Based Primary Care Outpatient Staff Scottsburg, Indiana 603. Learn more about this agency...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...